57118 Federal Register / Vol. 88, No. 161 / Tuesday, August 22, 2023 / Notices 

1 ‘‘Other eligible entities’’ that participate in the 

NPDB are defined in the provisions of Title IV, 

Section 1921, Section 1128E, and implementing 

regulations. In addition, a few federal agencies also 

participate with the NPDB through federal 

memorandums of understanding. Eligible entities 

are responsible for complying with all reporting 

and/or querying requirements that apply; some 

entities may qualify as more than one type of 

eligible entity. Each eligible entity must certify its 

eligibility in order to report to the NPDB, query the 

NPDB, or both. Information from the NPDB is 

available only to those entities specified as eligible 

in the statutes and regulations. Not all entities have 

the same reporting requirements or level of query 

access. 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request Information 

Collection Request Title: National 

Practitioner Data Bank for Adverse 

Information on Physicians and Other 

Health Care Practitioners 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than October 23, 2023. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, Room 14N136B, 5600 Fishers 

Lane, Rockville, MD 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call Joella Roland, the HRSA 

Information Collection Clearance 

Officer, at (301) 443–3983. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the 

information request collection title for 

reference. 

Information Collection Request Title: 

National Practitioner Data Bank for 

Adverse Information on Physicians and 

Other Health Care Practitioners—45 

CFR Part 60 Regulations and Forms, 

OMB No. 0915–0126—Revision. 

Abstract: This is a request for a 

revision of OMB approval of the 

information collection contained in 

regulations found in 45 CFR part 60 

governing the National Practitioner Data 

Bank (NPDB) and the forms to be used 

in registering with, reporting 

information to, and requesting 

information from the NPDB. 

Administrative forms are also included 

to aid in monitoring compliance with 

federal reporting and querying 

requirements. Responsibility for NPDB 

implementation and operation resides 

in HRSA’s Bureau of Health Workforce. 

The intent of the NPDB is to improve 

the quality of health care by 

encouraging entities such as hospitals, 

state licensing boards, professional 

societies, and other eligible entities 1

providing health care services to 

identify and discipline those who 

engage in unprofessional behavior, and 

to restrict the ability of incompetent 

health care practitioners, providers, or 

suppliers to move from state to state 

without disclosure or discovery of 

previous damaging or incompetent 

performance. It also serves as a fraud 

and abuse clearinghouse for the 

reporting and disclosing of certain final 

adverse actions taken against health care 

practitioners, providers, or suppliers by 

health plans, federal agencies, and state 

agencies (excluding settlements in 

which no findings of liability have been 

made). Users of the NPDB include 

reporters (entities that are required to 

submit reports) and queriers (entities 

and individuals that are authorized to 

request information). 

The reporting forms, request for 

information forms (query forms), and 

administrative forms (used to monitor 

compliance) are accessed, completed, 

and submitted to the NPDB 

electronically through the NPDB 

website at https://www.npdb.hrsa.gov/. 

All reporting and querying is performed 

through the secure portal of this 

website. This revision proposes changes 

to improve navigation through the 

secure portal. 

Need and Proposed Use of the 

Information: The NPDB acts primarily 

as a flagging system; its principal 

purpose is to facilitate comprehensive 

review of practitioners’ professional 

credentials and background. 

Information is collected from, and 

disseminated to, eligible entities 

(entities that are entitled to query and/ 

or report to the NPDB as authorized in 

Title 45 CFR part 60 of the Code of 

Federal Regulations) on the following: 

(1) medical malpractice payments, (2) 

licensure actions taken by Boards of 

Medical Examiners, (3) state licensure 

and certification actions, (4) federal 

licensure and certification actions, (5) 

negative actions or findings taken by 

peer review organizations or private 

accreditation entities, (6) adverse 

actions taken against clinical privileges, 

(7) federal or state criminal convictions 

related to the delivery of a health care 

item or service, (8) civil judgments 

related to the delivery of a health care 

item or service, (9) exclusions from 

participation in federal or state health 

care programs, and (10) other 

adjudicated actions or decisions. It is 

intended for NPDB information to be 

considered with other relevant 

information in evaluating credentials of 

health care practitioners, providers, and 

suppliers. 

Likely Respondents: Eligible entities 

or individuals that are entitled to query 

and/or report to the NPDB as authorized 

in regulations found at 45 CFR part 60. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

Total Estimated Annualized Burden 

Hours: 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 88, No. 161 / Tuesday, August 22, 2023 / Notices 57119 

Regulation citation Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

(rounded up) 

§ 60.6: Reporting errors, omissions, revisions or whether an action is on appeal.Correction, Revision-to-Action, Void, 

Notice of Appeal (manual).

8,897 1 8,897 .2500 2,225 

Correction, Revision-to-Action, Void, 

Notice of Appeal (automated).

14,982 1 14,982 .0003 5 

§ 60.7: Reporting medical malpractice payments.Medical Malpractice Payment (manual).

Medical Malpractice Payment (automated).

11,080 

447 

1 

1 

11,080 

447 

.7500 

.0003 

8,310 

1 

§ 60.8: Reporting licensure actions taken by 

Boards of Medical Examiners.

State Licensure or Certification 

(manual).

13,996 1 13,996 .7500 10,497 

§ 60.9: Reporting licensure and certification 

actions taken by States.

State Licensure or Certification 

(automated).

14,636 1 14,636 .0003 5 

§ 60.10: Reporting Federal licensure and 

certification actions.

DEA/Federal Licensure ..................... 555 1 555 .7500 417 

§ 60.11: Reporting negative actions or findings taken by peer review organizations or 

private accreditation entities.

Peer Review Organization ................

Accreditation .....................................

10 

10 

1 

1 

10 

10 

.7500 

.7500 

8 

8 

§ 60.12: Reporting adverse actions taken 

against clinical privileges.

Title IV Clinical Privileges Actions ....

Professional Society .........................

782 

27 

1 

1 

782 

27 

.7500 

.7500 

587 

21 

§ 60.13: Reporting Federal or State criminal 

convictions related to the delivery of a 

health care item or service.

Criminal Conviction (Guilty Plea or 

Trial) (manual).

979 1 979 .7500 735 

§ 60.13: Reporting Federal or State criminal 

convictions related to the delivery of a 

health care item or service.

Criminal Conviction (Guilty Plea or 

Trial) (automated).

406 1 406 .0003 1 

Deferred Conviction or Pre-Trial Diversion.60 1 60 .7500 45 

Nolo Contendere (no contest plea) .. 75 1 75 .7500 57 

Injunction ........................................... 10 1 10 .7500 8 

§ 60.14: Reporting civil judgments related to 

the delivery of a health care item or service.

Civil Judgment .................................. 6 1 6 .7500 5 

§ 60.15: Reporting exclusions from participation in Federal or State health care programs.Exclusion or Debarment (manual) ....

Exclusion or Debarment (automated) 

1,287 

2,610 

1 

1 

1,287 

2,610 

.7500 

.0003 

966 

1 

§ 60.16: Reporting other adjudicated actions 

or decisions.

Government Administrative (manual) 1,367 1 1,367 .7500 1,026 

Government Administrative (automated).632 1 632 .0003 1 

Health Plan Action ............................ 391 1 391 .7500 294 

§ 60.17: Information which hospitals must request from the National Practitioner Data 

Bank.

One-Time Query for an Individual 

(manual).

One-Time Query for an Individual 

(automated).

1,790,355 

3,945,360 

1 

1 

1,790,355 

3,945,360 

.0800 

.0003 

143,229 

1,184 

§ 60.18: Requesting Information from the 

NPDB.

One-Time Query for an Organization 

(manual).

77,095 1 77,095 .0800 6,168 

One-Time Query for an Organization 

(automated).

33,993 1 33,993 .0003 11 

Self-Query on an Individual .............. 223,589 1 223,589 .4200 93,908 

Self-Query on an Organization ......... 879 1 879 .4200 370 

Continuous Query (manual) .............. 1,030,917 1 1,030,917 .0800 82,474 

Continuous Query (automated) ........ 900,661 1 900,661 .0003 271 

§ 60.21: How to dispute the accuracy of 

NPDB information.

Subject Statement and Dispute ........ 4,015 1 4,015 .7500 3,012 

Request for Dispute Resolution ........ 83 1 83 8.0000 664 

Administrative ................................................ Entity Registration (Initial) ................. 3,252 1 3,252 1.0000 3,252 

Entity Registration (Renewal & Update).12,990 1 12,990 .2500 3,248 

State Licensing Board Data Request 87 1 87 10.5000 914 

State Licensing Board Attestation .... 360 1 360 1.0000 360 

Authorized Agent Attestation ............ 171 1 171 1.0000 171 

Health Center Attestation .................. 724 1 724 1.0000 724 

Hospital Attestation ........................... 3,238 1 3,238 1.0000 3,238 

Medical Malpractice Payer, Peer Review Organization, or Private Accreditation Organization Attestation.267 1 267 1.0000 267 

Other Eligible Entity Attestation ........ 4,790 1 4,790 1.0000 4,790 

Corrective Action Plan (Entity) .......... 10 1 10 .0800 1 

Reconciling Missing Actions ............. 1,371 1 1,371 .0800 110 

Agent Registration (Initial) ................ 78 1 78 1.0000 78 

Agent Registration (Renewal & Update).318 1 318 .0800 26 

Electronic Funds Transfer Authorization.734 1 734 .0800 59 

Authorized Agent Designation .......... 183 1 183 .2500 46 

Account Discrepancy ........................ 4 1 4 .2500 1 

New Administrator Request .............. 215 1 215 .0800 18 

Purchase Query Credits ................... 5,590 1 5,590 .0800 448 

Education Request ............................ 10 1 10 .0800 1 

Account Balance Transfer ................ 10 1 10 .0800 1 


lotter on DSK11XQN23PROD with NOTICES1
57120 Federal Register / Vol. 88, No. 161 / Tuesday, August 22, 2023 / Notices 

Regulation citation Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

(rounded up) 

Missing Report From Query Form .... 10 1 10 .0800 1 

Total ........................................... 8,114,604 ........................ 8,114,604 .................... 374,268 

HRSA specifically requests comments 

on: (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions; (2) the accuracy of the 

estimated burden; (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2023–17987 Filed 8–21–23; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Supplemental Award; Infant-Toddler 

Court Program—National Resource 

Center 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice of a HRSA-initiated 

supplemental award. 

SUMMARY: HRSA is providing 

approximately $1.91 million in 

supplemental award funds under 

HRSA–22–074 in fiscal year 2023 to the 

recipient of the Infant-Toddler Court 

Program (ITCP)—National Resource 

Center (NRC) award, to support state 

and local capacity to implement the ITC 

approach at sites that previously 

received funding under HRSA–18–123 

but that do not currently receive HRSA 

funding under HRSA–22–073 or HRSA– 

22–074. It is also providing 

approximately $650,000 in 

supplemental award funds under this 

notice of funding opportunity (NOFO) 

to support ITC sites with high need and 

capacity to provide Medicaid 

redetermination navigation support to 

families. 

FOR FURTHER INFORMATION CONTACT: 

Kateryna Zoubak, Early Childhood 

Systems Analyst, Division of Home 

Visiting and Early Childhood Systems, 

Maternal and Child Health Bureau, 

Health Resources and Services 

Administration, at ezoubak@hrsa.gov or 

240–475–8014. 

SUPPLEMENTARY INFORMATION: 

Intended Recipient of the Award: 

ZERO TO THREE National Center for 

Infant, Toddler and Families, Inc. 

Amount of Non-Competitive 

Award(s): One award of approximately 

$2.56 million. 

Project Period: September 30, 2023, to 

September 29, 2024. 

Assistance Listing (CFDA) Number: 

93.110. 

Award Instrument: Cooperative 

Agreement. 

Authority: 42 U.S.C. 701(a)(2) (Social 

Security Act, title V, section 501(a)(2)). 

TABLE 1—RECIPIENTS AND AWARD AMOUNTS

Grant No. Award recipient name City, State Award amount 

U2DMC32394 ....... ZERO TO THREE National Center for Infant, Toddler and Families, Inc ..... DC $2.56 million (estimated). 

Justification: The Consolidated 

Appropriations Act, 2023, included 

additional funds that are being used to 

support ITCs. HRSA understands 

guidance provided in House Report 

117–403 to support the award of 

additional funds for the NRC to provide 

implementation support and subject 

matter expertise to ITC teams and to 

advance national-level reach and impact 

of the program, including via subaward 

funds to local ITC teams who previously 

received financial support and technical 

assistance under HRSA–18–123, which 

was in place in 2022. Both of these 

objectives will be accomplished through 

a supplement to the NRC. 

The planned supplemental award to 

the ITCP NRC aligns with the most 

recent funding opportunity (HRSA–22– 

074) and program purpose outlined in 

the NOFO, which is ‘‘to continue and 

expand research-based infant-toddler 

court teams to change child welfare 

practices and improve the early 

developmental health and well-being of 

infants, toddlers, and their families,’’ 

with primary goals to (1) build the 

capacity of state/territorial/tribal and 

local teams to implement the ITC 

approach and lead aligned communitydriven efforts to prevent and respond to 

child maltreatment; and (2) advance the 

evidence and national reach, impact, 

and sustainability of the ITC approach. 

Additional expectations of the NRC in 

HRSA–22–074 include that it will ‘‘lead 

and coordinate improvements 

nationwide to policy and practice in 

child welfare and early childhood 

systems’’ and ‘‘provide a range of 

tailored supports to states and local sites 

that implement the ITC approach’’ that 

‘‘build upon previously-funded ITCP 

efforts’’ (e.g., funding awards under 

HRSA–18–123). Additionally, under the 

NOFO, the NRC advances the objective 

of increasing the spread, scale, and 

coordination of local ITC sites across 

States, Territories, jurisdictions, and 

Tribal nations. 

HRSA will award approximately 

$1.91 million to the current ITCP NRC 

recipient. This funding will enhance 

resource development, provision of 

subject matter expertise, the building of 

capacity to implement the ITC 

approach, further develop national-level 

partnerships, and provide subawards to 

local court teams that were previously 

funded under HRSA–18–123 (but not 

under HRSA–22–074/073), which will 

advance the national reach, impact, and 

sustainability of ITC teams. In addition, 

HRSA will provide a supplement of 

approximately $650,000 to enable 


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